米国 メディケイド プログラム: 医療 保険 保険 保険 保険 保険 保険 保険 保険 保険
Julie M Donohue1, Evan S Cole1, Cara V James2
1Department of Health Policy and Management, University of Pittsburgh School of Public Health, Pittsburgh, Pennsylvania.
JAMA
|September 20, 2022
まとめ
メディケイドは 何百万もの人のための 重要なアメリカ保健保険プログラムで 公平性と支出のバランスをとる 圧力に直面しています 人種間の格差を軽減し,すべての受益者のための健康の平等を促進するために,政策改革が必要である.
科学分野:
- 健康政策
- 健康に関する公平性
- 公的医療保険
背景:
- メディケイドは米国最大の健康保険プログラムで 低所得層の多様な人々を対象としています
- 医療の資金調達と健康格差の緩和に 重要な役割を果たしています
- 財政的・政治的圧力のバランスをとるという課題に直面している.
研究 の 目的:
- メディケイドの資格,登録,支出について説明します.
- 医療管理,支払い,医療制度の改革,メディケイドの拡大,人種的/民族的健康格差の調査
- メディケイド内の健康の公平性を向上させる機会を評価する.
主な方法:
- メディケイドの登録と支出に関する公開データ (2010-2022) の分析.
- PubMedの文献検索と非営利団体/政府機関からの報告 (2003年-2022年).
- 管理されたケア,提供改革,拡大,健康格差に関する証拠のレビュー
主要な成果:
- メディケイドは2022年に8060万人をカバーし,米国の人口の24.2%を占めています.
- 医療費 (6712億ドル) と州/連邦政府の支出を大きく占めた.
- 38州がメディケイドを拡大したが,マイノリティー集団の受益者の56.4%がアクセス/品質の不平等に直面している.
結論:
- メディケイドの構造,資金調達,範囲は改革と拡大によって進化しました.
- 人種的・民族的健康格差を軽減するために 重要な政策改革が不可欠です
- マネージドケアと提供改革における 公平性に焦点を当てれば メディケイド内の健康公平性を 促進できます
関連する概念動画
Standards of Care I
757
Federal statutes profoundly impact nursing practice, providing critical guidelines to ensure patient care is equitable, accessible, and of the highest quality. The following laws address distinct aspects of healthcare provision and patient rights:
757
Introduction To Health Care Delivery System
3.1K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.1K
Methods Of Healthcare Delivery System
3.5K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
3.5K
Issues And Trends In Healthcare Delivery System
5.8K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.8K
Standards of Care II
719
Nurses bear specific legal responsibilities under several federal statutes, including:
719
Health Information Technology and Healthcare Information System
905
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
905


